Doctor Name: | DENINE RACHELLE BOWMAN |
NPI Number: | 1013080092 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | LC1153 |
Business Practice Address: | 20 Courthouse Sq Suite 202 Rockville, MD - 208502336 |
Business Phone Number: | 3014246955 |
Business Fax Number: | |
Mailing Address: | 3809 Lawrence Ave, KENSINGTON |
State: | MD |
Postal Code: | 208951534 |
Phone Number: | 3019492788 |
Fax Number: | |
NPI Enumeration Date: | 11/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LC1153 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |